·But …higher
pressures……means un-comfortableness in nasal passages. I have only met one person who felt comfortable using the Pilairo at a CPAP setting of 12 cmh20 . (The Pilairo is designed to go as high as 25cmh20. However as a general observation ....... the average person finds it uncomfortable to use any type of CPAP Nasal Pillows when their CPAP settings are 10cm20 and higher.)

·Most people
with obstructive sleep apnea (OSA) are on fixed CPAP pressures. So if you have
a larger nostril and your cpap settings are 8 cmh20 …..the Pilairo Fisher
Paykel Nasal Mask Pillow might not inflate sufficiently to create a good seal.

·That’s why we
truly wished it came with a variety of Pilairo cushion pillow sizes.

·Per
Manufacturer – a) Limited Contact

b) Limited
Pressure points

c) Hovers
around the nose.

·“The
Stabilizer will not touch the upper lip” – per the manufacturer. (please watch
my video where I explain my patients and
my experience)

·Side Sleepers
– depending on how much you move around in bed. If you move a lot…. It breaks
the seal and it can take awhile to establish a seal again.

·If you have a
mustache – it appears about 50% of the men with beards or mustaches like the
Pilairo. The Opus 360 is so much better. (See the Opus 360 video review for the
reason why)

·The pillows
tend to tear quickly. Just last month I met 2 people who have had that issue.
So please be delicate with it. I
personally cannot remember having met anyone complain about this issue
regarding the Fisher & Paykel Opus360 and the ResMed Swift FX

·Replacement
Pilairo mask cushion are around $25 (as
of 2/2013). Not super expensive but it does cost money.

·Why the Short
tube (compare that to Swift FX , Go Life, Opus 360) ….more and more people are
using heated CPAP tubing…….the shorter the tube, less condensation (water build
up)

·Lightweight =
1.83 oz. or 52 grams.

·Elbow rotates
360 degrees

·“The headgear
will never stretch and it will always go back to the original shape.” …. per the manufacturer.

·Unable to
adjust the strap. Trust me it will get looser as the month goes.

· I recently had 2 long term CPAP users who have told
me that that they never wash the headgear ……. Maintains the elasticity and
shape of their CPAP head strap longer.

·Louder than
the ResMed Swift FX nasal pillows.

·Much more
comfortable than the Respironics Go Life nasal pillows.

·Almost feels like
nothing when using it. Well the ResMed Swift FX does a
better job at it. But this does give you that feeling.

·For some
people it tends to sit higher up on the cheekbone closer to the eye. But this
is a function of how uniquely your face structure is.

·One size
headgear is not appropriate for Petite and really large heads.

·Because you
can’t tighten the headgear…it shifts in bed if you are someone who moves around
a lot at night. I believe Fisher & Paykel is planning to change it and make
it an adjustable strap. When? Who knows?

·I have had
other clinicians who have had their sleep apnea patients complain to them about the Pilairo bruising their nostrils.

·The headband
stretches out and becomes too loose.

·Bulky.

·For smaller
size faces it touches the upper lip. But for larger face s people they will say
they feel like nothing is there.

·Really active
sleepers – you can dislodge the pillow from the seal. Especially side sleepers who move in bed a
lot.

·The Mirage
Swift FX comes with a cushion or Wrap to prevent marks on your facial cheek and
now it also has the BELLA LOOPS. The
Pilairo does not have any.

·It truly
inflates more at higher pressures. So if someone is at 6 cmh20 the nasal
pillows feels different as oppose if someone is at 10 cmh20.

·My personal experience using it for 5 nights - it hurt my septum , leaks when I
shifted a lot in bed, very comfortable, you do feel it on the upper lip area,
it is louder slightly, when it leaks while I was using, it took awhile to
readjust it. The way to adjust it is by pulling the Pilaro off your face first
and then reposition it.

·I was
surprised that how fairly easily the pillows get squished and I woke up feeling
out of breath. Now this also happens to the ResMed Swift FX nasal pillows. It
just catches you off guard.

·The ball elbow
does not rotate so flexibly as their Opus 360 or the ResMed Swift FX. (Perhaps
just my unit was like that).

·You cannot
clip the tubing over the head like the Opus 360 nasal pillows.

·There isn’t
even a strap that goes on the top of your head. Many people really like that.

·Cleaning – do
not soak the CPAP headgear or strap in
water or soapy water for more than 10 minutes

·You either love it or sort of like it . Nevertheless almost everyone wishes there are some
critical changes needed to make it really awesome.